2021 Walk to Defeat ALS Volunteer Interest Form

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Thank you for your interest to volunteer at a Walk to Defeat ALS. We could not hold these events without volunteers.

Please contact the volunteer coordinator at 605-929-7460 or stacey@alsmn.org if you have questions about the Walk to Defeat ALS, volunteering, or submitting this form.

Name: *

Street Address:

City, State, and Zip Code:

Home Phone Number:

Cell Phone Number: *

Work Phone Number:

Email Address: *

How would you like to be contacted about volunteering? *

Please make sure your contact information is listed above for any of the methods you choose.

Home Phone

Cell Phone

Work Phone

Required

What is your connection to ALS? *

Self: I am living with ALS.

Family Member: My family member is living/was living with ALS.

Friend: My friend is living/was living with ALS.

Professional: I work with people living with ALS.

Other: I have a different connection to someone with ALS.

None: I do not know anyone living with ALS.

Required

How did you hear about volunteering at the Walk to Defeat ALS? *

A Friend or Family Member

My School

My Employer

A Group I Belong To (e.g., Fraternity, Sorority, Social Club)

the Source (The ALS Association's e-Newsletter)

A Staff Member of The ALS Association

An Ad on VolunteerMatch

An Ad on Craigslist

An Ad on a United Way Website

An Ad on the Internet (Not VolunteerMatch, Craigslist, or United Way)

I Have Previously Volunteered at a Walk to Defeat ALS

I Have Previously Volunteered at The ALS Association (Not the Walk to Defeat ALS)

Other

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